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Pelvic floor muscle strength and body self-perception among Brazilian pregnant women

Cinara SacomoriCorresponding Author Informationemail address, Fernando Luiz Cardoso, Cristiane Vanderlinde

published online 05 April 2010.
Corrected Proof

Abstract 

Objectives

To examine the relationship between pelvic floor muscle strength and body self-perception variables in pregnant women; and, more specifically, to determine the influence of the number of pregnancies (primigravidas vs multigravidas) on the strength of contraction of the pelvic floor muscles and on the body self-perception of pregnant women.

Design

Comparative cross-sectional research.

Setting

Public health centres from Florianópolis, Brazil.

Participants

Thirty-five pregnant women (18 primigravidas, 17 multigravidas) with a mean age of 25.5 (standard deviation 5.7) years.

Main outcome measures

Pelvic floor strength measured through manual palpation, and body self-perception using the Questionnaire of Corporeality and Human Sexuality.

Results

Pelvic floor muscle strength was positively correlated with schooling [rho (ρ)=0.496] and body self-perception variables: finding the body beautiful (ρ=0.476), finding the body sexy (ρ=0.520), feeling that others find them sexy (ρ=0.364), finding the body proportional (ρ=0.412), touching the body generally (ρ=0.554) and recognising the smell of the body (ρ=0.454). Primigravidas found their bodies more beautiful and were more satisfied with their bodies. On a scale of 0 to 6, multigravid participants expressed a greater wish than primigravid participants to be thinner (median difference 2, 95% confidence interval 0–3, P=0.03). Pelvic floor strength did not differ between groups.

Conclusions

The results suggest a relationship between pelvic floor muscle strength and body self-perception. Professionals involved in women's health may have a role in helping their patients to understand their bodies.

Universidade do Estado de Santa Catarina, Florianópolis, Cep: 88080-350, Santa Catarina, Brazil

Corresponding Author InformationCorrespondence: Rua Benevenuta Bartlet James, 69, Centro, Florianópolis, Cep: 88015-630, Santa Catarina, Brazil. Tel.: +55 48 37338868; fax: +55 48 33218607.

PII: S0031-9406(10)00031-3

doi:10.1016/j.physio.2010.02.003